Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at South County Eden Operations Llc Dba Lakeside Nurs during CMS and state inspections, most recent first.
A resident with severe cognitive impairment sustained second-degree burns from an electric baseboard heater due to improper bed placement against the wall. The heater's temperature was recorded between 163-190°F, and the manufacturer's instructions required a 12-inch clearance, which was not maintained. Staff interviews confirmed that multiple beds were positioned against walls with heaters, posing a risk to residents.
A resident with dementia was subjected to derogatory and threatening remarks by an RN, who was overheard by other staff making statements such as "you're disgusting" and "I wish I could punch you in the face." The incident was reported by a NA and corroborated by another RN. The resident was noted to be agitated during the shift, and the RN involved was suspended pending investigation.
A facility failed to investigate an alleged abuse incident where a resident was seen assisting another resident of the opposite sex in putting on pants and kissing. The DNS could not provide evidence of a comprehensive investigation or report the incident to the Department of Health. The involved residents had significant medical histories and cognitive conditions, yet the facility did not follow its policy for timely investigation and documentation.
The facility failed to serve milk at the proper temperatures during lunch meals and did not maintain cleanliness in the main kitchen. Milk temperatures were found to be above the acceptable limit of 41 degrees Fahrenheit, and grease accumulation was observed on the screens and inner sides of the hood above the stove. The Certified Dietary Manager acknowledged these issues.
A resident with anxiety exhibited signs of distress during a dressing change, and the LPN was unaware of the physician's order for as-needed Lorazepam. The Assistant DON confirmed that the nurse should have medicated the resident prior to the procedure or stopped to administer the medication, indicating a lapse in communication and adherence to prescribed treatments.
A facility failed to provide a resident with necessary behavioral health care and services, including a recommended psychotherapy consultation and ear plugs for insomnia. Despite multiple diagnoses and medication adjustments, the resident's care plan was not fully implemented, leading to continued issues with insomnia and lack of psychotherapy.
A facility failed to document and report changes in a hospice resident's skin condition to the hospice provider or physician. The resident had multiple dark reddened areas that were not documented or reported by the LPN who noticed them. The facility's procedure to contact hospice services for wound care recommendations was not followed, and the Assistant Director of Nursing Services acknowledged the failure when it was brought to their attention by the surveyor.
The facility failed to maintain an infection prevention and control program, as evidenced by two staff members not adhering to proper PPE and hand hygiene protocols. A nurse entered the room of a resident with ESBL without donning a gown and gloves, and another nurse administered eye drops without wearing gloves and failed to perform hand hygiene.
Resident Burned by Electric Baseboard Heater Due to Improper Bed Placement
Penalty
Summary
The facility failed to maintain a safe environment for a resident, resulting in the resident sustaining second-degree burns from an electric baseboard heating unit. The incident occurred when the resident's foot was found resting directly on the heating unit, which was positioned against the wall next to the resident's bed. The heating unit's temperature was recorded between 163-190 degrees Fahrenheit, which is hot enough to cause burns upon contact. The manufacturer's instructions for the heating unit specified a minimum clearance of 12 inches from any objects, which was not adhered to in this case. The resident involved had a history of neurocognitive disorder with Lewy bodies dementia and muscle wasting and atrophy, and was assessed to have severely impaired cognition. The resident required supervision and assistance with transfers and bed mobility. On the night of the incident, a nursing assistant found the resident's foot on the heating unit, resulting in significant burns that required hospital admission. The resident was unable to verbalize pain but showed signs of discomfort and pain through facial grimacing and attempts to pull the foot away during assessment. Interviews with staff revealed that the resident's bed, along with others in the facility, was positioned against the wall where the heating units were located, contrary to safety guidelines. The Maintenance Director confirmed the high temperatures of the heating units and acknowledged the need for a 12-inch clearance. The facility was unable to provide evidence that they ensured the resident environment was free from accident hazards, which placed residents at risk of serious harm.
Failure to Maintain Resident Dignity and Respect
Penalty
Summary
The facility failed to ensure that a resident was treated with respect and dignity, as evidenced by an incident involving a registered nurse (RN), Staff B, and a resident with moderately impaired cognition due to dementia. The incident was reported by a nursing assistant (NA), Staff A, who overheard RN, Staff B, making derogatory and threatening remarks to the resident, including statements such as "you're disgusting" and "I wish I could punch you in the face." This behavior was corroborated by another RN, Staff C, who also heard Staff B telling the resident to "shut up" and calling them "disgusting." The resident, who was readmitted to the facility in September 2021, was noted to have been agitated during the shift, as documented by Staff B in a progress note. The incident occurred during the evening shift, and attempts to interview the alleged perpetrator, Staff B, were unsuccessful. The resident involved refused to speak with the surveyor. The facility's administrator acknowledged the incident and confirmed that Staff B had been suspended pending investigation. The deficiency highlights a failure in maintaining an environment that promotes the dignity and respect of residents, particularly those with cognitive impairments.
Failure to Investigate Alleged Abuse Incident
Penalty
Summary
The facility failed to provide evidence of a thorough investigation into an alleged abuse incident involving two residents. A staff member observed one resident assisting another resident of the opposite sex in putting on pants and witnessed them kissing. Despite the facility's policy requiring immediate investigation and documentation of such incidents, the Director of Nursing Services (DNS) was unable to provide evidence of a comprehensive investigation, including witness statements from the involved residents and a roommate who reportedly witnessed the incident. Additionally, the incident was not reported to the Department of Health as required. The residents involved had significant medical histories and cognitive conditions. One resident, admitted in April 2023, had a history of HIV, chronic Hepatitis B and C, and exhibited sexualized behaviors, with a BIMS score indicating intact cognition. The other resident, admitted in September 2020, had neurocognitive disorder and moderate cognitive impairment, with a history of poor decision-making and boundary issues. Despite these factors, the facility did not conduct a timely and comprehensive investigation or report the incident to the appropriate authorities, as required by their policy.
Improper Food Serving Temperatures and Kitchen Cleanliness
Penalty
Summary
The facility failed to properly serve food and maintain equipment in accordance with professional standards for food safety. Specifically, the serving temperatures of whole milk during lunch meals on multiple dates were found to be above the acceptable limit of 41 degrees Fahrenheit. On 4/19/2024, the milk served in the Main Dining Room was at 53.1 degrees F, at the Water Street nursing unit it was 51.6 degrees F, and at the Canary Street nursing unit it was 43.1 degrees F. These temperatures were observed by the surveyor and acknowledged by the Certified Dietary Manager during an interview on 4/19/2024 at approximately 2:30 PM. Additionally, the facility failed to maintain the cleanliness of nonfood-contact surfaces in the main kitchen. The surveyor observed visible grease accumulation on the screens in the hood above the stove and encrusted grease along the inner sides of the hood on three separate occasions: 4/17/2024 at approximately 9:30 AM, 4/18/2024 at approximately 11:30 AM, and 4/19/2024 at approximately 11:45 AM. The Certified Dietary Manager acknowledged the grease accumulation during the interview on 4/19/2024.
Failure to Administer Anxiety Medication as Prescribed
Penalty
Summary
The facility failed to ensure that services provided met professional standards of quality for a resident with anxiety. The resident, who was admitted with diagnoses including dementia, cognitive communication deficit, conductive hearing loss, glaucoma, and anxiety, had a physician's order for Lorazepam to be administered as needed for anxiety, restlessness, or agitation. During a dressing change, the resident exhibited signs of anxiety and repeatedly called out to the nurse to stop. The Licensed Practical Nurse (LPN) performing the dressing change was unaware of the order for the as-needed anxiety medication until it was brought to her attention by the surveyor. The Assistant Director of Nursing Services confirmed that the expectation was for the nurse to medicate the resident prior to the dressing change or stop the treatment and administer the anxiety medication as per the physician's order. The failure to follow the physician's order for the anxiety medication resulted in the resident experiencing unnecessary anxiety during the dressing change. This incident highlights a lapse in communication and adherence to prescribed medical treatments within the facility.
Failure to Provide Necessary Behavioral Health Care and Services
Penalty
Summary
The facility failed to ensure that a resident received necessary behavioral health care and services to maintain their highest practicable well-being. The resident, admitted in July 2023, had diagnoses including PTSD, panic disorder, anxiety, and major depressive disorder. Despite a care plan initiated on 8/1/2023 that included interventions such as utilizing psych services, the resident did not receive the recommended psychotherapy consultation. The resident's medication records showed multiple prescriptions for managing depression, anxiety, and insomnia, but there was no evidence of follow-up on the psychotherapy recommendation made by the contracted psych services APRN on 3/11/2024 and reiterated on 4/4/2024. Additionally, the resident complained of insomnia due to environmental factors, such as a loud roommate and an open door, and requested doxepin. Although alternative solutions like ear plugs were suggested, the resident reported not receiving them. Interviews with the resident and staff confirmed that the psychotherapy recommendations were not followed up on, and the resident did not receive the ear plugs. The Director of Nursing Services acknowledged that nursing should have followed up on the psych recommendations and that the Social Worker should have provided the ear plugs.
Failure to Document and Report Changes in Skin Condition for Hospice Resident
Penalty
Summary
The facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice and that the communication process between the facility and the hospice provider meets the needs of the resident. Specifically, for one resident receiving hospice services, the facility did not document or report changes in skin condition to the hospice provider or physician. The resident, admitted in September 2019 with diagnoses including dementia and the need for assistance with personal care, had a care plan revised in August 2023 that included notifying hospice of any change in condition and documenting/reporting any changes in skin status. During a surveyor observation, the resident was found to have multiple dark reddened areas on the lower shin and foot, which had not been documented or reported by the LPN who first noticed the changes two days prior. Further review revealed that the facility's procedure to contact hospice services for wound care recommendations was not followed, and the Assistant Director of Nursing Services acknowledged the failure to communicate these recommendations to the hospice provider until it was brought to their attention by the surveyor.
Infection Control Deficiencies
Penalty
Summary
The facility failed to maintain an infection prevention and control program, as evidenced by two staff members not adhering to proper PPE and hand hygiene protocols. Specifically, a Registered Nurse entered the room of a resident with ESBL without donning a gown and gloves, despite the resident being on contact precautions. The nurse acknowledged the oversight during an interview. The resident had a diagnosis of ESBL resistance and was receiving intravenous antibiotics, making adherence to contact precautions critical. Additionally, a Licensed Practical Nurse administered eye drops to another resident without wearing gloves and failed to perform hand hygiene after removing the gloves. The nurse only donned gloves after being prompted by the surveyor and did not wash hands before exiting the room. The Director of Nursing Services could not explain why the staff failed to follow the facility's infection control policies during an interview conducted in the presence of the Administrator and Assistant Director of Nursing Services.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 538 citations issued within 25 miles in the last 12 months — including the 24 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near North Kingstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Roberts Health Centre Inc | 1.4 mi | ★★★★★ | 5 | 0 |
| Saint Elizabeth Home East Greenwich | 5.5 mi | ★★★★★ | 5 | 0 |
| South Kingstown Nurs. & Rehab Ctr | 5.6 mi | ★★★★★ | 2 | 1 |
| Bayview Rehabilitation And Healthcare Center | 6.4 mi | ★★★★★ | 12 | 1 |
| Kingston Center For Rehabilitation And Health Care | 6.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for South County Eden Operations Llc Dba Lakeside Nurs.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.